STATESERV MEDICAL OF PHOENIX LLC (NPI# 1164051900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164051900 |
| Entity Type | Organization |
| Organization Name | STATESERV MEDICAL OF PHOENIX LLC |
| Practice Address |
5234 W. Missouri Glendale AZ 85301 |
| Mailing Address |
1201 South Alma School Rd Suite 4000 Mesa AZ 85210 |
| Practice Telephone | 8776337250 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | CHRISTOPHER ROODE (COO) |
| Authorized Official Telephone | 8776337250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952765844 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 220 E. Germann Rd, Suite 110, Gilbert, AZ 85297 | 2016-04-07 |
| Street Address |
5234 W. MISSOURI |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| 1740449925 | Jessica Aren Watkins | Pediatrics | 7734 N. 59th Ave, Glendale, AZ 85301 | 2008-06-03 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805918 | Rowan Clarke | Durable Medical Equipment & Medical Supplies | 7818 85th St, Glendale, NY 11385-7615 | 2020-09-15 |
| 1669081501 | Thrify Payless Inc | Durable Medical Equipment & Medical Supplies | 100 W Broadway Ste 5516, Glendale, CA 91210-1202 | 2020-07-27 |
| 1093336984 | Love LLC | Durable Medical Equipment & Medical Supplies | 1027 S Central Ave Ste 300, Glendale, CA 91204-3973 | 2020-05-01 |
| 1740827260 | Trinity Barcing, Inc | Durable Medical Equipment & Medical Supplies | 7721 79th Place, Ground, Glendale, NY 11385-7537 | 2019-12-03 |
| 1932760535 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1487 E Chevy Chase Dr, Glendale, CA 91206-4008 | 2019-06-25 |
| 1093207755 | Km Medical Supplies | Durable Medical Equipment & Medical Supplies | 469 W Windsor Rd Apt 1, Glendale, CA 91204-1925 | 2018-05-30 |
| 1619470085 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 5140 W Peoria Ave Ste 116, Glendale, AZ 85302-1631 | 2018-03-13 |
| 1427556588 | Joints In Motion Medical, LLC | Durable Medical Equipment & Medical Supplies | 525 W. Riverwoods Parkway #120, Glendale, WI 53212 | 2018-01-24 |
| 1962919449 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 5605 W Eugie Ave Ste 206, Glendale, AZ 85304-1274 | 2018-01-05 |
| 1558870337 | Intouch Medical Supply | Durable Medical Equipment & Medical Supplies | 19918 N 65th Ave, Glendale, AZ 85308-7088 | 2017-09-25 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.